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MIMIC-CXR-JPG/2.0.0/files/p18822469/s57055970/beccfa90-5f747353-61c814e8-a77ed2f5-e545f233.jpg | the patient is status post median sternotomy, ascending aortic replacement and aortic valve replacement. the cardiac silhouette size is mildly enlarged. the mediastinal and hilar contours are unremarkable. there is no pulmonary vascular congestion. no focal consolidation, pleural effusion or pneumothorax is identified. there are mild degenerative changes in the thoracic spine. | chest pressure, near-syncope. |
MIMIC-CXR-JPG/2.0.0/files/p19897794/s51544104/b3ba7d70-a19b9350-fec25899-e43eeb39-9286bc17.jpg | single portable view of the chest. et tube tip is <num> cm from the carina. the lungs are clear of confluent consolidation noting that the right lung base laterally is excluded from the field of view. cardiomediastinal silhouette is within normal limits for technique and position. surgical clips seen within the neck on the left. osseous structures are grossly unremarkable. | <unk>-year-old female with cardiac arrest now with endotracheal tube. |
MIMIC-CXR-JPG/2.0.0/files/p12064210/s56496501/846671a7-ce8295f8-2e7484ca-75b0e8f0-f6a0ed40.jpg | frontal and lateral views of the chest. the lungs are clear of focal consolidation. the cardiomediastinal silhouette is unchanged given differences in positioning on the current exam. no acute osseous abnormality is identified. median sternotomy wires are noted. | <unk>-year-old male with copd, cough and sputum production. |
MIMIC-CXR-JPG/2.0.0/files/p17885962/s58634081/0efcfe84-a72c46f9-d3d9c177-825ff0c1-9f4c7a21.jpg | the cardiomediastinal and hilar contours are within normal limits. lungs are clear. there is no focal consolidation, pleural effusion or pneumothorax. increased amount of air in the left upper quadrant is likely secondary to a mildly distended stomach. | four episodes of hypoglycemia in the past <num> hours, rule out pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p13245622/s50202343/9be1aec4-110c99e1-8c58bfb5-f9c59e2f-6f2f687c.jpg | pa and lateral chest radiographs. there is a new moderate left pleural effusion with associated atelectasis. the right lung is clear. the cardiomediastinal silhouette is not well delineated due to the pleural effusion. there is no pneumothorax. | ascites with decreased breath sounds in the right base. |
MIMIC-CXR-JPG/2.0.0/files/p10213338/s54430807/59b90a84-4632475d-326dadd1-8d6e01c2-867cd471.jpg | moderate cardiomegaly is noted with upper lobe vascular redistribution, compatible with pulmonary venous hypertension. there is no evidence of pulmonary edema, pleural effusion, pneumothorax, or pneumonia. | history: <unk>f with ams // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p13286565/s51966693/e29995e5-b57ce559-398b194d-305d020a-57c883c8.jpg | heart size is normal. mediastinal contours are unremarkable with mild prominence of the hila bilaterally. streaky bibasilar airspace opacities likely reflect atelectasis. there is no pulmonary vascular engorgement. no pneumothorax or pleural effusion is present. there are no acute osseous abnormalities. | syncope. |
MIMIC-CXR-JPG/2.0.0/files/p15650383/s58593126/6c364e38-06170a31-f20a6d9b-3386480a-627be702.jpg | pa and lateral views of the chest provided. there is right middle lobe opacity, which is possibly reflecting pneumonia. mild pulmonary vascular congestion is seen without overt edema. heart size is top normal. there are no pleural effusions. | <unk> year old woman with myeloma and progressive cough |
MIMIC-CXR-JPG/2.0.0/files/p17805551/s58392748/62716f69-0a07d5c5-2f8833af-4da7933b-696070a4.jpg | frontal and lateral views of the chest were obtained. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. heart size is normal. mediastinal silhouette and hilar contours are normal. no acute osseous abnormality is identified. there is no free air under the right hemidiaphragm. | <unk>-year-old woman with lightheadedness after bowel movement and memory loss. |
MIMIC-CXR-JPG/2.0.0/files/p18112598/s52040150/5d6fa52e-6481d691-47205349-c581edb5-42630edb.jpg | study is somewhat limited due to portable ap view. there is new left basilar atelectasis, without convincing signs of pneumonia or overt edema. cardiomediastinal and hilar contours are grossly unchanged. no pleural effusions. | <unk>m with fever, tachycardia,. r/o infection. |
MIMIC-CXR-JPG/2.0.0/files/p13628670/s54551136/fba52bf2-2bc36550-f9c9b6cc-bbdd2365-a4dcadea.jpg | the patient is status post sternotomy with evidence of a prosthetic aortic valve. a left-sided pacemaker is in satisfactory position with the leads in the right atrium and right ventricle. there are persistent small bilateral pleural effusions, not significantly changed from the prior exams. there are associated basilar opacities, which are likely atelectasis. there is increased prominence of the interstitial markings since <unk>, suggestive of a slight worsening of mild pulmonary edema. the mediastinal contours are normal. the heart size is at the upper limits of normal. again noted is a partially calcified lymph node in the mediastinum on the left. | shortness of breath. evaluate for fluid overload or pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p16826047/s54920051/d2e3dff5-381ea801-b587e5f8-7a35a88a-9c9b66a5.jpg | pa and lateral views of the chest. the right-sided pleural drain is unchanged in position. the loculated pleural effusion within the right hemithorax are again seen, and appears minimally increased in size. right perihilar mass is better seen on the recent ct. there has been interval increase in mild pulmonary edema. costophrenic angle on the lateral view is blunted, which is new compared to prior study indicating a new left pleural effusion. the cardiomediastinal silhouette is difficult to assess but appears largely unchanged. | recent pleurodesis and worsening shortness of breath. evaluate for acute process. |
MIMIC-CXR-JPG/2.0.0/files/p10450519/s56877386/b97573fe-5559dc72-94f559ca-e04136db-40fd6e07.jpg | pa and lateral views of the chest. mild cardiomegaly, compared with <unk>, the heart size has increased and the left atrium and left ventricle are more prominent. previously seen mild interstitial pulmonary edema has decreased compared with <unk>. aortic valve calcifications. no pleural effusion. no pneumothorax. no infiltration. the mediastinal and hilar contours are normal. | significant valvular abnormalities and chf and copd exacerbation, status post two liters of diuresis, question of pulmonary edema. |
MIMIC-CXR-JPG/2.0.0/files/p15239216/s50842360/b76c564b-fe737966-69833518-fedc9431-dbe5811e.jpg | pa and lateral chest radiographs were provided. opacity in the left mid and lower lung zones with obscuration of the left hemidiaphragm and heart border are concerning for middle and lower lobe pneumonia. lung volumes are low. cardiomediastinal silhouette is unremarkable. small bilateral pleural effusions may be present, worse on the left. there is no pneumothorax. the osseous structures are intact. | <unk>-year-old male with tachypnea and hypoxia, rule out pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p15524760/s50752634/713f5b0c-4f60bb16-5eb48a81-6ca47a30-3e3cdcc8.jpg | there has been interval placement of an enteric tube with the tip coursing below the left hemidiaphragm, into the stomach and off the inferior borders of the film. low lung volumes remain with patchy opacities at the lung bases most likely reflective of atelectasis. the cardiac and mediastinal contours are unchanged. pulmonary vasculature is not engorged. no pleural effusion, focal consolidation or pneumothorax is identified. | <unk>m status post nasogastric tube placement, please confirm tube placement |
MIMIC-CXR-JPG/2.0.0/files/p15860021/s51206600/639679f9-00589dff-36ca8419-dc8330fe-392b00af.jpg | frontal and lateral chest radiographs demonstrate no significant changes compared to the prior study. cardiomediastinal contours are within normal limits. eventration of the right hemidiaphragm noted. lungs are clear. there is no pleural effusion and no pneumothorax. | chest pain, evaluate for cardiopulmonary process. |
MIMIC-CXR-JPG/2.0.0/files/p11150587/s57350021/2ad46c2d-1d70c913-d8d662af-e2c8fb7c-47698d50.jpg | ap portable view of the chest: extensive opacification of the right hemi thorax the combination of atelectasis, particularly of the right upper lobe, as well as a moderate-sized pleural effusion with right lower lobe atelectasis as well. the mediastinum is shifted to the right owing to the atelectasis. the left lung by comparison is essentially clear aside from minimal bibasilar atelectasis. heart size is probably within normal limits. the large amount of free intra-abdominal air is similar in quantity to <num> days prior. | respiratory distress. |
MIMIC-CXR-JPG/2.0.0/files/p11952347/s53161368/521c8de1-af74726d-29121963-8435b0e1-e96c1986.jpg | the heart size is normal. the hilar and mediastinal contours are normal. there is a <num> mm nodular opacity overlying the right posterior <unk> rib. no other focal consolidations are identified. there is no pleural effusion or pneumothorax. the visualized osseous structures are unremarkable. | history of shoulder pain please evaluate chest. |
MIMIC-CXR-JPG/2.0.0/files/p13830152/s59217389/881d2d7d-47cbbedd-464c5f78-1c72b10d-e918d83b.jpg | no focal consolidation, pleural effusion, or pneumothorax is seen. heart and mediastinal contours are within normal limits. the lungs are hyperinflated. | <unk>-year-old female with syncope. |
MIMIC-CXR-JPG/2.0.0/files/p19495094/s51547589/6c082d92-c27c83bd-5c016d36-32548779-8c2c99b5.jpg | a left-sided pigtail catheter has been placed in the interval from the prior study with some improved aeration. kinking in <num> locations of this catheter is. extensive left-sided disease remains | <unk> year old woman with b/l pleural effusions of unknown etiology s/p ct-guided drainage of loculated left pleural effusion. // assess for improvement in loculated left pleural effusion |
MIMIC-CXR-JPG/2.0.0/files/p14014950/s52142796/8556ad32-f7c15e71-cbd8cec4-a6fa5b68-d59d43ee.jpg | patient is status post median sternotomy, cabg, and mitral valve repair. a left-sided aicd device is noted with leads terminate in the right atrium, right ventricle, and coronary sinus, unchanged. mild cardiomegaly is similar. the mediastinal and hilar contours are unremarkable. pulmonary vasculature is not engorged. there is a small left pleural effusion, not substantially changed from the previous study with associated left basilar opacity likely reflective of compressive atelectasis. right lung is clear. no pneumothorax is present. no acute osseous abnormalities demonstrated. | history: <unk>f with dyspnea status post cabg and mvr during <unk> // evaluate for volume overload, infiltrate, effusion |
MIMIC-CXR-JPG/2.0.0/files/p19262119/s53154367/847a6e8a-c833a4d2-9282cecd-d48da68b-203c015e.jpg | the heart is normal in size. there is slight unfolding of the thoracic aorta. the mediastinal and hilar contours are otherwise unremarkable. there are multiple nodular opacities in each lung, the most prominent of which projects over the left mid-to-upper lung with a rounded contour. there is no pleural effusion or pneumothorax. mild degenerative changes are noted along the thoracic spine. | lower extremity swelling. |
MIMIC-CXR-JPG/2.0.0/files/p15228826/s51412476/c583e131-f02b9dd7-8fbae0bc-9883e7be-7461b767.jpg | the lungs are clear. there is no consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. no acute osseous abnormalities identified. | <unk>f with chills, nausea, vomiting persistent cough // pna |
MIMIC-CXR-JPG/2.0.0/files/p10326914/s56652133/88175b2a-37fcc3d9-ca9266cd-c5a369ce-c9b46b9b.jpg | right internal jugular central venous catheter tip terminates in the mid svc. no definite pneumothorax is present. heart size appears mildly enlarged. assessment of the left lung is limited as the left lung base was not completely included in the field of view. there is mild pulmonary vascular congestion. aorta appears unfolded. bibasilar airspace opacities may reflect areas of atelectasis but infection is not excluded. there may be a small left pleural effusion. | history: <unk>m with central line placement |
MIMIC-CXR-JPG/2.0.0/files/p17534819/s56790491/77d1b565-720876a7-db92845b-db6c46c3-aa2c104e.jpg | the lungs are clear without consolidation, effusion, or pneumothorax. cardiomediastinal silhouette is within normal limits. no displaced fractures identified. | <unk>m with chest pain // ? pna |
MIMIC-CXR-JPG/2.0.0/files/p15255325/s52534889/89c57412-c75f59a7-0d60550c-cc2b355f-fa3cac07.jpg | the heart size is normal. the cardiomediastinal silhouette and hilar contour is stable. the lungs are clear without focal consolidation, effusion or pneumothorax. a right-sided port-a-cath is in place and the tip terminates in the mid to inferior superior vena cava unchanged from prior exam. a peg tube projects over the mid abdomen. | shortness of breath and the right upper quadrant pain. |
MIMIC-CXR-JPG/2.0.0/files/p13034409/s59733906/d89a40c7-ceec4bc3-615e5d08-ecc86586-ea305ad4.jpg | there is patchy consolidation seen throughout the right lung, particularly at the base. left lung is grossly clear. there is some volume loss on the right with mediastinal shift towards the right and elevation of the right hemidiaphragm. no acute osseous abnormality identified. | <unk>-year-old female with altered mental status. |
MIMIC-CXR-JPG/2.0.0/files/p17774821/s58334838/f89cb043-a49073e2-6430fd03-eef0a66f-d612004f.jpg | the lungs are clear. calcific densities projecting over the lung apices are compatible with vascular calcifications. subclavian artery stent is also noted. . cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. | <unk>m with s/p fall, multiple small scalp lacerations most notably over occipital prominence, l sided anterior cw tenderness concerning for <unk> rib fractures // fracture or bleed? |
MIMIC-CXR-JPG/2.0.0/files/p14642772/s53033373/672e817e-2bed7099-8d12ea51-f3579e60-42e8f807.jpg | lung volumes are low. this accentuates the size of the cardiac silhouette which is likely mildly enlarged. aortic knob is calcified. leftward tracheal deviation with fullness of the right superior mediastinal border may be due to the presence of the thyroid nodule or goiter. there is crowding of the bronchovascular structures without overt pulmonary edema. patchy retrocardiac opacity likely reflects atelectasis. no pleural effusion or pneumothorax is demonstrated. multilevel degenerative changes are noted in the thoracic spine. | history: <unk>f with altered mental status |
MIMIC-CXR-JPG/2.0.0/files/p13809888/s54643852/a33aa883-7290cf23-8c52c0ba-98bd2c41-b96ee33e.jpg | the patient is status post coronary artery bypass graft surgery. the heart is mildly enlarged. the mediastinal and hilar contours appear unchanged. there is similar mild-to-moderate relative elevation of the right hemidiaphragm with an anterior eventration, relative to the left side. there is no pleural effusion. no pneumothorax is demonstrated. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p13261572/s51103958/0f348ad2-0e62d5df-911ffa21-271c5c49-a91b7214.jpg | new since prior chest x-ray are increased interstitial markings throughout the lungs with perihilar prominence. there is no large effusion noting that the costophrenic angles are not completely included on this exam particularly on the right. cardiac silhouette is top-normal. degenerative changes noted at the right shoulder. surgical clips noted at the neck on the right. | <unk> year old man with pe's, now with progressively labored breathing. // concern for pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p12877392/s54065685/5d3c8144-fd1a8e9e-a2fbcc58-2382ad81-1e4047a6.jpg | frontal and lateral views of the chest. left chest wall dual-lead pacing device again seen with lead tips in the right atrium and right ventricular apex. the lungs are clear without consolidation, effusion, or edema. cardiomediastinal silhouette is stable. hypertrophic changes again noted in the spine. | <unk>-year-old female with cough and fever. |
MIMIC-CXR-JPG/2.0.0/files/p19935311/s58160630/42fe7da6-1d4ea409-d5d165ec-435071f8-6461268b.jpg | pa and lateral views of the chest provided. overlying ekg leads are present somewhat limiting assessment. minimal right infrahilar opacity could represent mild atelectasis. the heart size is top-normal. aortic calcifications at the knob noted. no pneumothorax or pleural effusion. bony structures are intact. | <unk>f with sob // eval pna |
MIMIC-CXR-JPG/2.0.0/files/p16788424/s51243569/2925dacc-c541609d-f1ec9434-bf2fa6f2-e7636741.jpg | compared to the prior study there is slight improved aeration of both lower lungs. there is no definite infiltrate. | fever and seizure. |
MIMIC-CXR-JPG/2.0.0/files/p10095570/s59429006/a584ef36-a8d33b45-59d500a4-bc45d4e2-e1dbd443.jpg | ap view of the chest provided. left-sided subclavian line terminates in the mid svc. since prior study from earlier today, the degree of pulmonary edema has improved. cardiomediastinal and hilar contours are normal. there are no pleural effusions. focal stenosis of the upper trachea has been previously evaluated on chest ct from <unk>, and does not appear different compared to the scout images then. there is no pneumothorax. | <unk> year old man with left subclavian access. // subclavian placement . |
MIMIC-CXR-JPG/2.0.0/files/p12712344/s55407277/63a0a099-eceb5f03-be565fff-ee42ef99-15baec72.jpg | compared with prior radiographs on <unk>, there is no relevant change in the small left pleural effusion. heterogeneous opacification of bilateral lung bases is unchanged. there is no new focal consolidation. no pneumothorax is seen. borderline cardiomegaly is stable. | <unk> year old man with relapsed hd and prob bleo toxicity, also new left pleural effusiom // assss left pleural effusion |
MIMIC-CXR-JPG/2.0.0/files/p18508489/s58982133/96f401e2-141b829c-55aa9834-4ebb2254-13c059fe.jpg | the patient is rotated somewhat to the the left. given this, there is right infrahilar opacity which may be accentuated by patient rotation but underlying consolidation due to infection or aspiration not excluded. no pleural effusion or pneumothorax is seen. the cardiac silhouette is top-normal. mediastinal contours are stable. eventration of the right hemidiaphragm is again seen. surgical clips are again noted in the upper abdomen. | history: <unk>f with cough // ?pna |
MIMIC-CXR-JPG/2.0.0/files/p11875731/s50768469/78fcd481-ee89ca5c-6693cc31-3ed37215-63865b29.jpg | again seen is mild to moderate cardiomegaly, similar in configuration to the prior study. there is minimal upper zone redistribution, similar to the prior study. doubt interstitial or alveolar edema. no effusions are identified. probable subsegmental atelectasis at both lung bases. however, no focal consolidation is identified. | <unk> year old man with orthopnea, here for chf exacerbation // progression of pulmonary edema? |
MIMIC-CXR-JPG/2.0.0/files/p13188963/s52428949/4eff3b0d-31de4dcf-08552201-fe78d6be-77d98b80.jpg | the patient is status post median sternotomy and cabg. there are relatively low lung volumes and mild elevation of the right hemidiaphragm. small bilateral pleural effusions are seen, with overlying atelectasis. no pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. | history: <unk>m with fever, mylagias, hx transplant and nocardia pulmonary infection // eval for acute infectious process |
MIMIC-CXR-JPG/2.0.0/files/p16252508/s56851365/38d85737-2b704590-2ca23392-b669e8b7-5ca622b2.jpg | <num> views of the chest: the lungs are well expanded and clear. the cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. no pleural effusion or pneumothorax is present. | chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p11884069/s52664900/1cfbf797-774fd3bf-5db60fca-177de573-bba5884d.jpg | pa and lateral chest radiographs were provided. there is a large central mass in the right upper and mid lung zones, likely involving the mediastinum consistent with patient's known history of lung cancer. there is associated collapse of the right upper lobe. a small cavity in the left mid lung zone, as seen on mri, is likely a metastasis. there is prominence of the interstitial markings. elevation of the right hemidiaphragm suggests phrenic nerve involvement from the large lung mass. there is no pleural effusion or pneumothorax. | cough, fevers, known lung cancer, infection. |
MIMIC-CXR-JPG/2.0.0/files/p14196268/s53561723/95f79e06-0f18d0b6-1eb3de5c-1976fe08-8667b870.jpg | the lungs are clear. there is no evidence of pneumonia, pneumothorax, or pleural effusion. cardiac silhouette is normal in size. | <unk>f with chest pain // acute cardiopulm diseas |
MIMIC-CXR-JPG/2.0.0/files/p13405546/s55827411/effd8617-fe5f2c37-adee35c3-609b0489-fcba92e7.jpg | the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the lungs appear clear. mild degenerative changes are noted along the mid thoracic spine. there is been no significant change. | chest pain and cough. |
MIMIC-CXR-JPG/2.0.0/files/p11961264/s51654747/11085f03-1999e65d-ae95a162-09bf25ec-3668f643.jpg | frontal lateral chest radiographs demonstrate low lung volumes, with resultant prominence of the cardiac silhouette and bronchovascular crowding. allowing for this, heart size is likely normal. there is mild pulmonary edema and vascular congestion. superimposed on this is increased opacity in the left lung base, which likely represents atelectasis, but an early pneumonia cannot be excluded. there is no large pleural effusion or pneumothorax. | altered mental status. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p13539966/s58402999/7918a1d9-16a1405e-dd83c665-72d8fee2-a5297dd8.jpg | frontal and lateral views of the chest. no prior. the lungs are clear. there is no effusion or pneumothorax. the cardiomediastinal silhouette is normal. surgical clips project over the right axilla. osseous and soft tissue structures are otherwise unremarkable. | <unk>-year-old female with chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p14651330/s55362119/df5e9395-20e39403-5800df4d-5951997e-f57bc10f.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. | <unk> year old man with pain upper back, he is worried about his lungs. status post c<num> through c<num> anterior fusion. // evaluate |
MIMIC-CXR-JPG/2.0.0/files/p19397112/s52031641/9fc76655-87501fbc-4516e54f-e3ed1f5d-e715ca10.jpg | endotracheal and enteric tubes are in satisfactory position. heart size is normal. left lower lobe collapse and small left pleural effusion are unchanged. no evidence of pneumonia. no pneumothorax. | <unk>f with known atrial fibrillation on anticoagulation presenting s/p cardiac arrest vs. syncopal episode w/fall, transferred to ticu with sub-galeal sdh, c<num>/dens fracture with associated hematoma. evaluate for interval change. |
MIMIC-CXR-JPG/2.0.0/files/p18944208/s54881172/cc5f9dd7-ebece152-18859f8e-27026b91-df81b284.jpg | the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. | weakness. evaluate for pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p17866544/s50241767/be94ab50-5f6f0fb2-12381bf8-d4ec85ed-3b57cf35.jpg | there has been prior cervical spinal fusion. tracheostomy tube projects over the midline. left lower lobe collapse and small left pleural effusion. right lung is clear. | history: <unk>m with resp failure, lung colapse // pna? lung colapse? |
MIMIC-CXR-JPG/2.0.0/files/p16606674/s58207699/796380d5-d2a8733b-4c649673-a3254e61-238b29db.jpg | pa and lateral views of the chest provided. numerous bilateral nodular opacities are again noted which remain concerning for metastatic disease. no large effusion or pneumothorax is seen. mild cardiomegaly appears new from prior exam. the mediastinal contour appears unchanged with atherosclerotic calcification along the aortic knob. the imaged bony structures appear unremarkable. clips in the upper abdomen noted. | <unk>m with metastatic prostate ca with sob // r/o chf, pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p10773739/s56346242/fa7b20f1-0fd5ce93-b4aaf450-db44d8ec-8f3df713.jpg | the left-sided chest tube is been removed. there is a small left apical lateral pneumothorax. the volume loss/a atelectasis/effusion on the left is similar compared to prior compared to the prior study there is no significant interval change | <unk> year old man with l pleural effusion s/p r vats decortication // s/p chest drain pull l side. please take cxr at <unk> today <unk> |
MIMIC-CXR-JPG/2.0.0/files/p14371035/s50206071/5e71a8e8-4304b318-70ab93c9-b9d6a970-13b28143.jpg | single portable semi-erect chest radiograph is provided. patient is rotated to her left. lung volumes are low. the heart is upper limits of normal in size, exaggerated by the low lung volumes. opacification projecting over the right middle lung zone may reflect sequela of atelectasis or aspiration though infectious etiology is difficult to exclude. obscuration of the left costophrenic angle may reflect a small pleural effusion. biapical pleural thickening may reflect layering pleural effusion. there is no large pneumothorax. no overt pulmonary edema. prominence of the vascular pedicle is likely secondary to patient positioning and low lung volumes. no acute osseous abnormality is identified. imaged upper abdomen is unremarkable. | <unk>-year-old female with altered mental status. |
MIMIC-CXR-JPG/2.0.0/files/p16853039/s51892833/eb4837cd-00ae2f4c-3dad74bd-001400d3-e60954e3.jpg | ng tube extends into the stomach however the tip is not visualized. increased pulmonary vascular congestion and pulmonary edema compared to prior. the right hemidiaphragm is no longer obscured as there has been interval improvement of the pleural effusion.no pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. | <unk> year old man with cirrhosis, c diff, dyspnea overnight with new findings on cxr, want to re-eval as patient breathing on ra again // eval for pna, vs aspiration pneumonitis, vs pleural effusion |
MIMIC-CXR-JPG/2.0.0/files/p13373060/s52752447/a7a8c3c4-4c391b10-4b0d66b4-9d2a1f53-60ffe9fd.jpg | the lungs are clear. incidental note of an azygos fissure. cardiomediastinal silhouette is unremarkable. small bilateral pleural effusions. | <unk> year old man with pe (cough likely from pe but r/o infectious process) // ?infection |
MIMIC-CXR-JPG/2.0.0/files/p13103745/s58376854/f52ace95-2dcc9354-75084896-9630d30e-802906a2.jpg | tenting of the right hemidiaphragm is postsurgical in nature. unchanged right mediastinal surgical clips. lungs are well-expanded, but there is a new left lower lobe opacity seen best on the pa film, concerning for pneumonia. no pneumothorax. the cardiomediastinal silhouette is stable. | <unk> year old man with heavy smoking history, s/p rul lobectomy for squamous cell lung ca, presenting with dyspnea, sputum production. ? copd exacerbation vs pneumonia. evidence of pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p17587241/s54891249/dddd3d25-ab36b4b6-e1503e33-121284b9-3d5c067f.jpg | pa and lateral views of the chest provided. previously noted enteric tube is been removed as has the left picc line. vague ground-glass opacity projecting over the left lower lung is new from prior exam and could reflect pneumonia in the correct clinical setting. mild blunting of the right cp angle is unchanged reflecting pleural thickening. there is no overt edema. cardiomediastinal silhouette is stable with an unfolded calcified thoracic aorta. bony structures appear intact. pectus excavatum deformity of the sternum noted. | <unk>f with cough // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p19475604/s59648472/05cd130a-94ebba99-769636ec-277a2c5a-76ad2b33.jpg | minimally increased interstitial markings in the lung bases likely represent mild interstitial pulmonary edema. there is no focal consolidation, pleural effusion, or pneumothorax. the left pectoral pacemaker and its leads project in unchanged location. hyperinflation suggesting underlying copd is unchanged. the cardiomediastinal silhouette, including mild cardiomegaly, is unchanged. | <unk>m with altered mental status, evaluate for source of infection |
MIMIC-CXR-JPG/2.0.0/files/p18336137/s50422613/8337bda2-a5d00ec3-9b6cff1c-fad8c560-7ed1c560.jpg | the lung volumes are low. the heart appears mildly enlarged but difficult to judge in the setting of low lung volumes. the mediastinal and hilar contours are unremarkable. there are patchy streaky opacities at the lung bases that can probably be attributed to atelectasis. at the extreme left lung apex there is a nodular focus that measures approximately <num> mm in diameter, potentially a lung nodule, although other possible explanations include subpleural scarring or a bony excrescence. the possibility of a lung nodule needs to be considered, however. there is no pleural effusion or pneumothorax. bony structures are unremarkable. | episode of throat tightness and shortness of breath. |
MIMIC-CXR-JPG/2.0.0/files/p14314867/s50557493/1cc4c9fb-dd4499b4-f8bd78fe-9d5c1c1d-3946d9ec.jpg | pa and lateral chest radiographs were obtained and compared with <unk>. lungs are well inflated and clear. no nodule, consolidation, effusion, or pneumothorax is present. the heart and mediastinal contours are normal. | <unk>-year-old woman with cough and chest pain. |
MIMIC-CXR-JPG/2.0.0/files/p11104857/s57950253/2e5c2117-f3cc109f-062bd80a-44753186-0f95f44c.jpg | the patient is status post median sternotomy and cabg. there is fracture of the superior most median sternotomy wire. cardiac, mediastinal and hilar contours are normal. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is identified. there are no acute osseous abnormalities. | arm numbness, cough. |
MIMIC-CXR-JPG/2.0.0/files/p19599798/s59749042/98d46c3c-c713b10d-fa124b30-82143109-00ec91b4.jpg | the cardiac silhouette is top-normal in size. there is calcification of the aortic knob. lung volumes are decreased. however, there is no focal consolidation, pleural effusion or pneumothorax. no acute osseous abnormalities identified. | right shoulder pain and right upper chest pain. rule out fracture. |
MIMIC-CXR-JPG/2.0.0/files/p10354450/s58441969/b7b3ee20-d7bf29e5-2a9db109-163a8932-4e7f2c05.jpg | an endotracheal tube tip is seen <num> cm above the carina. a left-sided subclavian catheter tip terminates in the right atrium. a nasoenteric tube terminates in the stomach. lung volumes are low, accentuating the pulmonary vasculature. bibasilar atelectasis is noted. a small left effusion is likely present. there is no discrete consolidation, or pneumothorax. | <unk>-year-old man with perforated sigmoid colon, status post ex lap and sigmoid colectomy. |
MIMIC-CXR-JPG/2.0.0/files/p17451560/s54031721/717db4d3-5963b680-2b1eb81a-5dc80c26-0f089d12.jpg | the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. healed posterior left rib fractures are unchanged. no acute fracture is identified. | cough and shortness of breath. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p13711253/s53620867/dc9d5fa0-5f3061de-78e5b541-02cccbf0-1e2628d4.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. | history: <unk>m with epigastric pain, fever // fever, epigastric pain; eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p17334338/s52935675/2c6a6f54-e6a13458-3fc5066a-80b84f3e-8fd45b20.jpg | pa and lateral chest radiographs were obtained. the lungs are well expanded. there is an airspace opacity in the anterior right upper lobe with air bronchograms. medial depression of the adjacent minor fissure suggests the possibility of a central mass. there is no effusion or pneumothorax. cardiac and mediastinal contours are normal. | cough and fever. |
MIMIC-CXR-JPG/2.0.0/files/p17055995/s55045318/04ac83c1-740154cd-378f0bed-f4615e94-8e883aaa.jpg | single portable frontal chest radiograph demonstrates well-expanded lungs. heart is normal in size, and cardiomediastinal contours are unremarkable. there is no pleural effusion or pneumothorax. small calcified granulomas are again noted. the lungs are otherwise clear. lower cervical fusion hardware noted. | fever, evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p16601631/s54210209/49d834b6-07e953e8-57afdca4-696ad574-ac14d583.jpg | upright frontal and lateral chest radiographs demonstrate acute on chronic increase in bibasilar airspace and interstitial opacity concerning for rapidly progressive ipf. there is no definite pulmonary edema. airspace opacity especially in the right lower lobe could reflect pneumonia. the cardiac silhouette and mediastinal contours are grossly unchanged. there is no pneumothorax. a hiatal hernia has been repaired. | <unk>-year-old male with interstitial lung disease and cough. |
MIMIC-CXR-JPG/2.0.0/files/p19105433/s51545307/52ace893-315f45cf-1cc00b16-559ed724-293c0237.jpg | single frontal view of of the chest. a right chest tube terminates in the right upper lung. small right lateral chest wall subcutaneous emphysema. heart size and mediastinal contours are normal. lung volumes are very low, crowding bronchovascular markings. the patient is status post right upper lobectomy and small right apical pneumothorax is expected postoperatively. small right juxtamediastinal hematoma is also within expected post-operative limits. no significant pleural effusion. | status post right upper lobe lobectomy. |
MIMIC-CXR-JPG/2.0.0/files/p17024159/s56886841/d92bb54d-d0bc44e8-c8a37082-80c752d6-c4d3e103.jpg | the cardiomediastinal silhouettes are stable and within normal limits. the thoracic aorta is mildly tortuous. the bilateral hila are unremarkable. the lungs are clear. there is no evidence of pulmonary vascular congestion. there is no pneumothorax or pleural effusion. compression deformity of a mid thoracic vertebral body and bilateral rib fractures are stable since prior exam from <unk>. | <unk>-year-old man with right lower rib pain in mid back pain following assault, assess for fracture. |
MIMIC-CXR-JPG/2.0.0/files/p12767555/s52683558/dc69e83f-d2551ff6-0a877fe9-7fd5f732-76a0a6fb.jpg | pa and lateral views of the chest provided. the lungs appear clear. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. a posterior bulge involving the right hemidiaphragm reflect a known eventration. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. | <unk>m with hx liver transplant, with cough and presyncope. |
MIMIC-CXR-JPG/2.0.0/files/p17193178/s53546097/8d1e9f9a-483d8174-1e1d4689-82f94936-b40c3fcb.jpg | the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. | <unk>f with hypoglycemia // ?pna |
MIMIC-CXR-JPG/2.0.0/files/p12766561/s59595219/2869a88e-08cac48d-d6c8bc3c-cc54cc3e-adafbb68.jpg | there is mild enlargement of the cardiac silhouette. mediastinal and hilar contours are unremarkable. the pulmonary vasculature is normal. linear opacities in the lung bases are compatible with subsegmental atelectasis. there is no focal consolidation, pleural effusion or pneumothorax is identified. no acute osseous abnormalities seen. | worsening word finding difficulty and weakness. |
MIMIC-CXR-JPG/2.0.0/files/p11601553/s57322935/3b436fe3-531a3a74-426bb0bc-d28f9e57-604abaa4.jpg | enteric tube tip below diaphragm, not included on the radiograph. stable left basilar opacity. there are trace pleural effusions, similar. borderline pulmonary vascularity. stable appearance of bilateral hila. normal heart size. no pneumothorax. | <unk> year old woman with tbi, new oxygen requirement, ?aspiration // eval for aspiration, other cause of acute hypoxia |
MIMIC-CXR-JPG/2.0.0/files/p11246165/s52372684/43d15ded-1802b1ca-9f6ec300-3920a884-6ffedcd7.jpg | the lungs are hyperinflated but clear of consolidation. blunting of the left costophrenic angle suggests small effusion. the cardiomediastinal silhouette is within normal limits. atherosclerotic calcifications noted at the aortic arch. degenerative changes are noted in the spine. | <unk>f with cp, cough, sob // eval for effusion, |
MIMIC-CXR-JPG/2.0.0/files/p12273785/s52530388/9b839249-1eac2f74-6c6e3f1d-c0e51f98-b19bdc00.jpg | compared to the prior radiograph, stable appearance of multiple bilateral pulmonary metastases and left upper lobe collapse. no pleural effusion, pneumothorax, or evidence of pneumonia. | history: <unk>f with cough, syncope // evaluate for acute changes |
MIMIC-CXR-JPG/2.0.0/files/p11739489/s58081760/afc749f8-bcef3f56-c2040291-d5676333-2e860f98.jpg | oderate cardiomegaly is essentially unchanged since <unk>. lungs fully expanded and clear. small pleural effusion seen only on the lateral view. stable appearance of the dual lead pacemaker. thoracic aorta is mildly enlarged generally but not focally aneurysmal. no pneumothorax. | <unk> year old man with pacemaker and brain tumor // check leads to pacemaker |
MIMIC-CXR-JPG/2.0.0/files/p16867899/s57716837/57423fe5-89bc09c3-4c882a41-9a129dd5-0a924a68.jpg | the lungs are well-expanded. there is an ill-defined faint opacity in the right upper lung projecting over the anterior third rib. no effusion, edema, or pneumothorax. the heart is top-normal in size. the mediastinum is not widened. there is a broad-based right pleural abnormality in the region of the right seventh posterior rib with slight asymmetric appearance of the chest wall soft tissue on the right compared to the left. no definite rib fractures are identified. | <unk>-year-old man with acute onset dizziness. evaluate for infection, chronic pulmonary disease. |
MIMIC-CXR-JPG/2.0.0/files/p19791816/s58082910/124d9c57-7f06a605-9a36bef6-63a9bbaf-304d5b04.jpg | the patient has been intubated. an endotracheal tube terminates about <num> cm above the carina. an orogastric tube courses into the stomach, where it terminates. the stomach is mildly distended. there is mild but increased left basilar opacity and elevation of the left hemidiaphragm suggesting atelectasis. otherwise, evaluation of the lung parenchyma is obscured by a large pleural plaque involving the right hemithorax. there is no pneumothorax. | status post endotracheal intubation. |
MIMIC-CXR-JPG/2.0.0/files/p10320090/s51132205/e1fc3adb-eae661d8-e5eb40d8-4f6ffee0-e16e87f5.jpg | cardiac size is enlarged as before. pacer leads are in standard position. . the lungs are clear. there is no pneumothorax or pleural effusion. | <unk> year old man with <unk> no with elevated wbc // eval for pna |
MIMIC-CXR-JPG/2.0.0/files/p13786130/s56636411/81f4a78c-4d99b382-01caad66-b566b317-5343540b.jpg | the heart is again enlarged. mitral annular calcifications are present. the mediastinal and hilar contours appear unchanged. the pulmonary vascularity is indistinct, which is a new finding, suggesting mild vascular congestion. patchy additional basilar opacities suggest atelectasis. the right glenohumeral joint is moderately narrowed with upward subluxation of the humeral head. the left humeral head is attenuated and flattened with a deformity of the glenoid and narrowing of the glenohumeral joint. soft tissue calcifications also project immediately inferior to the joint. the bones are probably demineralized. | cough. |
MIMIC-CXR-JPG/2.0.0/files/p19514027/s53017624/61f1ff05-e4e86849-50343bc6-073daddb-1e026908.jpg | mild cardiomegaly is re- demonstrated. the mediastinal and hilar contours are unchanged. the pulmonary vasculature is normal. lungs are clear. no focal consolidation, pleural effusion or pneumothorax is present. clips are seen within the right upper quadrant of the abdomen. | history: <unk>f with fever, cough, chest pain |
MIMIC-CXR-JPG/2.0.0/files/p14741847/s55883020/8f7d7780-8da191a2-36770a49-d9332bc1-b4cd523c.jpg | portable frontal chest radiograph demonstrates a tracheostomy tube in standard position, although the cuff distends the caliber of the trachea. further elevation of the left hemidiaphragm and upward traction on the left hilus reflects left-sided volume loss from atelectasis. bilateral parenchymal opacity is improving in the right upper lung from <unk> or <unk>. pulmonary edema is mild and also improving. a left upper extremity picc tip projects over the mid svc. | <unk>-year-old male with pneumonia status post tracheostomy with rising white blood cell count. |
MIMIC-CXR-JPG/2.0.0/files/p15689523/s52038570/4f9d64b5-5a366e37-ee47ab44-3965ffa7-01f3976f.jpg | there are confluent bibasilar opacities due to a combination of right pleural effusion bilateral consolidations suspicious for infection and probable atelectasis. given differences in technique, there has been no dramatic interval change. tracheostomy tube is noted. calcified mediastinal lymph nodes are also visualized. cardiomediastinal silhouette is unchanged. median sternotomy wires are intact. right-sided dual-lumen central venous catheter tip is within the right atrium. right picc tip is also likely in the upper right atrium | <unk>m with trach/peg, c/f stomach contents on suction, desating // aspiration |
MIMIC-CXR-JPG/2.0.0/files/p18454049/s52554323/8ff02ad8-ba3ebac0-da916e55-c88c56f7-66e78b2d.jpg | cardiac silhouette size remains normal. the mediastinal and hilar contours are unchanged. pulmonary vasculature is not engorged. persistent ill-defined opacities within both lung bases are perhaps minimally worse in the interval with probable trace bilateral pleural effusions. no pneumothorax is detected. there are no acute osseous abnormalities. mild degenerative changes are noted in the lower thoracic spine. | history: <unk>f with recent pneumonia |
MIMIC-CXR-JPG/2.0.0/files/p13611526/s55824289/e11ab8f1-44f30e78-5454cef1-2b6b8fd4-82036c08.jpg | diffuse, bilateral increased interstitial prominence suggests edema. asymmetric increased opacity with air bronchograms in the right lower lobe is concerning for concurrent infection and/or aspiration. no pleural effusion or pneumothorax. the heart size cannot be adequately assessed on this ap only view. | <unk> year old man with hx hiv, cryptococcal lung infection, now seizing, febrile, and hypotensive. ? acute lung process |
MIMIC-CXR-JPG/2.0.0/files/p16924675/s56438832/07684665-b6782d43-879af623-a51174c7-4bb58c58.jpg | there is a single-lead pacemaker terminating in the right ventricle. the heart is moderately enlarged. the mediastinal and hilar contours appear unchanged. there is similar mild elevation of the right hemidiaphragm. there is no pleural effusion or pneumothorax. a very vague opacity in the right upper lobe is not as distinctly visualized. | suspected pneumonia. history of alcohol abuse. |
MIMIC-CXR-JPG/2.0.0/files/p17191670/s57156292/a7577f06-833621e9-39d5e7b4-fd874849-9db7d5d6.jpg | cardiac silhouette size is moderately enlarged but unchanged. the mediastinal and hilar contours are similar. there is mild pulmonary edema without substantial pleural effusion. no pneumothorax is identified. no acute osseous abnormality is detected. | history: <unk>m with chest pain |
MIMIC-CXR-JPG/2.0.0/files/p11979534/s58570719/b797c5c5-1723c04a-c85ec0a0-46be32b5-06cb6e0e.jpg | aside from bibasilar atelectasis, the lungs are clear. moderate cardiomegaly is stable. otherwise, the hilar and cardiomediastinal contours are normal. there is no pneumothorax. there is no pleural effusion. pulmonary vascularity is normal. | <unk>-year-old man with orthostatic symptoms, stable vitals. evaluate for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p15608579/s51328374/fed53b0a-eeed63f3-2a50ddb6-d2970ab4-157a7fa4.jpg | frontal and lateral views of the chest were obtained. the heart is of normal size with normal cardiomediastinal contours. the lungs are clear without focal or diffuse abnormality. the pulmonary vasculature is unremarkable. no pleural effusion or pneumothorax. the osseous structures are unremarkable. | <unk>-year-old female with weakness. rule out pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p18996191/s52358504/71c3b97b-c0895221-feadf4c1-2a43a024-e0f72a1a.jpg | the patient is status post right lower lobectomy with chronic lung changes in the right lung field, but no evidence of acute infectious processes.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen. | <unk> year old man with emphysema and s/p lung cancer resection. now has cough and shortness of breath. evaluate for pneumonia or other abnormality. |
MIMIC-CXR-JPG/2.0.0/files/p15132754/s53416853/e06d9b91-e20eda4a-651c5d9f-af02b67a-20e3ea7b.jpg | the lungs are clear with the exception of minimal left base atlectasis. the cardiomediastinal silhouette and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. degenerative changes of the thoracic spine are again noted. | <unk>-year-old woman with lower thoracic pain, rule out lung disease. |
MIMIC-CXR-JPG/2.0.0/files/p17287323/s52381632/e177644a-680a6f64-108150b5-1b4fb401-569e6a26.jpg | frontal and lateral chest radiographdemonstrates well expanded and clear lungs.no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable. sternotomy wires are intact. persistent curvature of the left hemi diaphragmatic surface is unchanged dating back to <unk>. limited assessment of the upper abdomen is within normal limits. severe scoliosis is again noted. | cough, recent pneumonia. assess for pneumonia. |
MIMIC-CXR-JPG/2.0.0/files/p12426136/s50647213/77e09301-3f75dfcb-2ec7c673-81d8d300-60c8b25a.jpg | large right pneumothorax is similar compared with ct chest from <time> earlier today, when findings were communicated to the referring clinical service. endotracheal tube tip is just above carina, should be pulled back. there is small right pleural effusion, with right basilar atelectasis. there is mild left basilar atelectasis. normal heart size, pulmonary vascularity. multiple rib fractures are better seen on ct. | <unk> year old man with multiple injuries s/p trauma // please eval for pneumothorax |
MIMIC-CXR-JPG/2.0.0/files/p13233757/s58341345/09412f69-381de9bc-bf251921-04e9c964-f68149fe.jpg | interval placement of a left-sided chest tube with tip in the left lung apex. a right chest tube is now seen with side port within the thorax and tip in the apex. the endotracheal tube and enteric tube are unchanged. extremely low lung volumes. there is a right-sided contusion. there is likely pulmonary edema. there are multiple bilateral rib fractures. no definite pneumothorax. no definite pleural effusion. | <unk>-year-old woman status post motor vehicle crash |
MIMIC-CXR-JPG/2.0.0/files/p12514413/s53691305/e3a8eaa6-e38eab5b-e19dd76a-77cb67c9-532ef915.jpg | there is mild bibasilar atelectasis; otherwise, the lungs are clear with no evidence of consolidation or effusion. there is no pneumothorax. cardiomediastinal silhouette remains moderately enlarged but stable. two-lead pacemaker appears in place. | altered mental status. |
MIMIC-CXR-JPG/2.0.0/files/p12617428/s51544810/d459f0bf-9213c12c-4189fad8-96b5eed4-ebd77640.jpg | frontal and lateral chest radiographdemonstrates mildly hyperinflated clear lungs.no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable. | preop chest radiograph. |
MIMIC-CXR-JPG/2.0.0/files/p13870531/s50880102/5d85cf2c-302da5ee-3e92f29c-c3070fab-a0b9cae5.jpg | a portable frontal chest radiograph again demonstrates heterogeneous bilateral opacities consistent with ards. radiographically, there is not much change. there is no pneumothorax or large pleural effusion. the endotracheal tube, nasogastric tube, and right picc are unchanged in position. | ards an ongoing respiratory failure. evaluate for interval change. |
MIMIC-CXR-JPG/2.0.0/files/p16921847/s56791727/18a3b0d3-e4d551db-a74fe720-3a3b5cd7-f749fdc3.jpg | heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. | <unk>f with <num> days of fevers, runny nose, sore throat, cough. |
MIMIC-CXR-JPG/2.0.0/files/p14570421/s56283169/20691ecf-440b8ec9-a9732b0f-8b1e0e8e-6542276a.jpg | pa and lateral chest radiographs. there are new focal opacities in both lungs, most notably in the superior segment of the right lower lobe. other scattered parenchymal opacities are stable with the exception of a new opacification in the superior segment of the right lower lobe and the left mid lung. | history of cvid. evaluation for interval change. |
MIMIC-CXR-JPG/2.0.0/files/p15353428/s59210401/2034a579-5128f486-91e55a25-773f6f8d-c5f0a3b6.jpg | the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. | fever cough malaise. evaluate for pneumonia. |
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